Evidence map›Paper›PMID 37772292›Full record

ArticleMovement disorders clinical practice2023

Neuropathic Tremor in Guillain-Barré Syndrome.

Roopa Rajan, Reghu Anandapadmanabhan, Aayushi Vishnoi, Venugopalan Yamuna Vishnu, Anna Latorre, Harsh Agarwal, Tamoghna Ghosh, Navtej Mangat, Deblina Biswas, Anu Gupta and 6 more

Open access · greenAbstract read
In one paragraph

Article in Movement disorders clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Tremor pathophysiology.Clinical parkinsonism & related disorders · 2026
    Review
  2. Review
  3. Tremor Following Guillain Barré Syndrome.Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 2 countries.

Roopa RajanDepartment of Neurology All India Institute of Medical Sciences New Delhi India.ORCID 0000-0003-4987-7252
Reghu AnandapadmanabhanDepartment of Neurology All India Institute of Medical Sciences New Delhi India.ORCID 0000-0003-0061-2800
Aayushi VishnoiDepartment of Neurology All India Institute of Medical Sciences New Delhi India.
Venugopalan Yamuna VishnuDepartment of Neurology All India Institute of Medical Sciences New Delhi India.ORCID 0000-0002-3654-8137
Anna LatorreSobell Department of Motor Neuroscience and Movement Disorders University College London (UCL) Institute of Neurology London United Kingdom.ORCID 0000-0001-7103-5209
Harsh AgarwalAll Indian Institute of Medical Sciences New Delhi India.
Tamoghna GhoshAll Indian Institute of Medical Sciences New Delhi India.
Navtej MangatAll Indian Institute of Medical Sciences New Delhi India.
Deblina BiswasDepartment of Neurology All India Institute of Medical Sciences New Delhi India.
Anu GuptaDepartment of Neurology All India Institute of Medical Sciences New Delhi India.ORCID 0000-0002-0095-6569
Divya Madathiparambil RadhakrishnanDepartment of Neurology All India Institute of Medical Sciences New Delhi India.ORCID 0000-0002-0641-7398
Mamta Bhushan SinghDepartment of Neurology All India Institute of Medical Sciences New Delhi India.
Rohit BhatiaDepartment of Neurology All India Institute of Medical Sciences New Delhi India.
Achal SrivastavaDepartment of Neurology All India Institute of Medical Sciences New Delhi India.ORCID 0000-0002-4590-7947
Madakasira Vasantha Padma SrivastavaDepartment of Neurology All India Institute of Medical Sciences New Delhi India.
Kailash P BhatiaSobell Department of Motor Neuroscience and Movement Disorders University College London (UCL) Institute of Neurology London United Kingdom.ORCID 0000-0001-8185-286X
All India Institute of Medical Sciences · INUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neuropathic Tremor (NT) is a postural/kinetic tremor of the upper extremity, often encountered in patients with chronic neuropathies such as paraprotein-associated and hereditary neuropathies. Objectives: To describe the clinical and electrophysiological features of NT in a previously underrecognized setting- during recovery from Guillain-Barré Syndrome (GBS). Methods: Patients with a documented diagnosis of GBS in the past, presenting with tremor were identified from review of clinical records. Participants underwent structured, videotaped neurological examination, and electrophysiological analysis using tri-axial accelerometry-surface electromyography. Tremor severity was assessed using the Fahn-Tolosa-Marin Tremor Rating Scale. Results: We describe the clinical and electrophysiological features of 5 patients with GBS associated NT. Our cohort had a fine, fast, and slightly jerky postural tremor of frequency ranging from 8 to 10 Hz. Dystonic posturing and overflow movements were noted in 4/5 patients. Tremor appeared 3 months-5 years after the onset of GBS, when patients had regained near normal muscle strength and deep tendon jerks were well elicitable. Electrophysiological analysis of tremor strongly suggested the presence of a central oscillator in all patients. Conclusion: NT is not limited to chronic inflammatory or hereditary neuropathies and may occur in the recovery phase of GBS. The tremor is characterized by a high frequency, jerky postural tremor with dystonic posturing. Electrophysiological evaluation suggests the presence of a central oscillator, hypothetically the cerebellum driven by impaired sensorimotor feedback.

Indexed as

ElectromyographyGuillain-Barre SyndromeTremorAdultAgedFemaleHumansMaleMiddle AgedNeurologic Examinationdystonic tremorGuillain‐Barré syndromeneuropathic tremortremor analysis

Identifiers

PMID37772292
PMCPMC10525049
OpenAlexW4379795625

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.